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The drug-use disorder probably caused 12 patients to become infected with hepatitis C.



PUYALLUP, Wash. – A nurse who has admitted using certain medications for patients was identified as the likely cause of a hepatitis C outbreak in a hospital in Washington state that had become infected with 12, according to a report released by the US Centers For disease control and prevention published on Thursday, the authority began last year with the comprehensive investigation, as officials were informed of an outbreak of hepatitis C in patients at the Good Samaritan Hospital after routine checkup two patients with the disease in the emergency department, it said in the report.

"The investigation revealed an outbreak of at least 1

2 [hepatitis C] infections in patients who had received opioid injections from a nurse who had been told to divert injectable narcotics," the report said in the agency's weekly MMWR has been published.

The nurse was identified in the report only as "Nurse A" and had her license issued by the State Nursing Commission. Nearly 2,000 patients were tested after the disease was detected.

"Several epidemiological findings in this study strongly suggest that Nurse A was the likely source of infection for the 12 patients with acute HCV infection," concluded CDC Epidemiologists, Washington State Department of Health and the Department of Health Tacoma-Pierce district.

The nurse had more frequent access to the hospital's automated drug delivery system than other employees, the report said, "allowing patients to divert injectable narcotics." personal use.

The nurse Cora Weberg has maintained her innocence.

The nurse was also "the only usual epidemiological link" to patients with a genetically similar strain of hepatitis C.

Hepatitis C, according to the CDC, is 2 4 million Americans are affected by a blood-borne virus that affects the liver Most people become infected by sharing needles or other devices to inject drugs, for some it's a short-term disease, but it accounts for 70% to 85% % of people with hepatitis C will become a chronic long-term infection that can lead to serious health problems, including death.

The report said the nurse worked in the emergency department from August 2017 to March 2018. During this time, she identified the hospital 2,985 patients receiving injectable drugs – opioids, sedatives or antihistamines – from the sick Chwester was given an examination during her service.

On April 28, 2018, the hospital sent letters to 2762 patients warning of possible hepatitis C exposure and offered free trials. By November, 67% had been tested, 20 of them tested positive for hepatitis C, including 13 with a genetically similar strain as the nurse, according to the report.

According to the report, a patient was known to be suffering from chronic hepatitis C and has received injectable narcotics from the nurse twice in the emergency department.

"It is possible that Nurse A acquired the virus from the patient with chronic HCV infection during the visit on November 8 and was infectious during November 22 through December 26, 2017. At least 12 patients treated her "Infected temporarily," says the report .

The hospital was not mentioned in the report, but the Good Samaritan Hospital in Puyallup confirmed the outbreak there and apologized.

"We apologize to these patients who were infected with hepatitis C at our facility, which should not have happened," the hospital said in June. "The safety of our patients [of] is of paramount importance to our mission, as part of our efforts to notify, test and treat appropriate patients affected by this exposure, we will review the circumstances of these exposures thoroughly to ensure that they are met ensure safe environment patients in all MultiCare facilities. "

The CDC recommends," Healthcare facilities and public health professionals should recognize the potential for infection and other damage due to drug diversion and minimize the risks by keeping controlled substances safely and the access protocols to be routinely checked for drug use. "

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